VOLUNTEER PERSONAL DETAILS & PERMISSION FORM

Please sign below acknowledging that you have read and fully understood and will follow the requirements and conditions of being a volunteer at GVOA. Parents of volunteers under the age of 18 are required to read and sign this document.

WORKPLACE VOLUNTEER ACKNOWLEDGEMENT - I acknowledge that I have received Glenworth Valley's Policies & Procedures. I will comply with these policies and that there may be disciplinary consequences if I fail to comply, which may result in the termination of my volunteering.

HORSE RIDING IS A DANGEROUS ACTIVITY. The rider recognises that horses are living animals. Each horse has a different nature and temperament. The rider recognises that there is an element of risk in riding horses and that the horses may act in an unpredictable manner, particularly if frightened, hurt or in any way mistreated. The rider acknowledges that a horse may quicken its pace, trot or canter on the return to its stable or yard. 5. Approved helmets are available for sale or hire however the rider acknowledges that no helmet can protect the wearer against all possible impacts. All riders accept that the Service Provider, its owners, agents and employees does not accept liability for any accident or injury to the rider arising as a result of the rider not wearing an approved helmet, with the retention system correctly fastened in accordance with the manufacturers fitting instructions. 6. Knowing these inherent risks including the use of approved helmets, the rider accepts that the Service Provider, its owners, agents and employees do not accept any liability for any accident, damage, injury to the rider, spectator or any other person or property whatsoever and the guardian of minor children indemnifies the Service Provider against any claim that may be made by such a minor rider. 7. The Service Provider relies on the information provided as to riding experience and age to base our selection of a suitable horse on. 8. The Service Provider makes no warranty of any kind, expressed or implied as to the nature, habits and disposition of any horse supplied. 9. The Rider alone accepts full responsibility for the control of the horse provided and its safety and agrees not to permit fast or uncontrolled riding or galloping and will only ride in a safe and controlled manner. Jumping is not allowed unless authorised in writing and accompanied by an instructor. 10. The Rider will not permit the horse selected for their personal use to be exchanged with other Riders or permit any person other than the selected rider to ride the horse or permit the doubling of any other person, including children unless authorised and accompanied by an instructor. 11. The Rider will be responsible for the correct adjustment of all harness, saddle, stirrups and helmet prior to and during the ride. The saddle girth must be kept tight at all times and must be checked every hour to ensure that tension is maintained. The rider shall request the ride attendant to assist in the adjustment of all equipment prior to and during the ride if necessary. The girth is not to be loosened or the saddle removed when resting the horse. 12. You do not suffer from any disability, illness or impairment which may affect your participation in the recreational activity. 13. You must immediately inform the Service Provider of any injury or situation that concerns your personal safety or health or that of another participant and acknowledge that the remote location of the activity may affect access to medical attention and you will not hold Service Provider responsible for any resulting delay. All accidents, injuries to persons or damage to property must be reported to the Service Provider before leaving the Service Provider. If this is not possible due to injury then such report must be made in writing and directed to the General Manager within 14 days of the date of injury, damage or loss. Any claim whatsoever against the Service Provider must be within 12 months of the date of injury and it is agreed that any claim not made within the 12 month period will be waived. 14. All instructions by the Service Providers staff must be observed. 15. You agree to read, obey and accept all signs and directions given by Service Provider. 16. You agree that Service Provider is the occupier and not the owner, of the activity site, which may include public land, and understand and agree that the owner of the activity site owes no duty of care or contractual obligations to you. 17. You further acknowledge and agree that you have entered this agreement and undertaken the activity freely, voluntarily and absolutely at your own risk and with a full appreciation of the nature and extent of all risks involved. 18. If any rider does not comply with the conditions set out in this application or in the opinion of the Service Provider engages in misconduct, discourteous or hazardous riding then the ride may be cancelled by the Service Provider and the Service Provider need not refund any monies charged for the ride. 19. This form or application need not be accepted by the Service Provider and no reason be given for its rejection